SlideShare a Scribd company logo
Medial tibial condyle fracture + Tibial tuberosity
avulsion + Segonds fracture + LCL complex injury
+ Biceps femoris tendon injury
- Right Leg
History
• 20 years old, Female
• Alleged h/o RTA
• Skid and fall from 2 wheeler (Patient - rider)
• C/o Pain and limitation of movement of Right knee
• No h/o head injury
• No h/o any known comorbidties
• H/o drug allery to ACECLOFENAC
On Examination
*Abrasion - 5 x 3 cm (+) over distal aspects of right leg
2 x 1 cm present over infra patellar area left knee
*Swelling (+) over lateral aspects of right leg proximally
*Tenderness(+) lateral joint line supra patellar region of right
knee
*Tenderness (+) lateral aspects of right leg proximally
*Varus stress test positive
*SLR positive
*ROM- right knee restricted due to pain
*Distal pulse (+)
*No neurological deficits.
Clinical Image
Pre OP X Ray
MRI with CT Correlation
Right Knee
Diagnosis
1. Medial tibial condyle fracture (schatzker type 4)
2. Tibial tuberosity avulsion
3. Segonds fracture
4. LCL complex injury + Biceps femoris tendon injury
- Right Leg
Surgery
1. Reduction & fixation (MIPO) of Medial tibial
condyle fracture with proximal tibial medial T-
plate Right 3.5 mm 8 holed (Sigma titanium)
2. Tibial tuberosity avulsion fixed with 4 mm
Cancellous screw (50 mm) with washer
3. Segonds fracture fixed with 4 mm Cancellous
screw (30 mm)
4. LCL complex injury + Biceps femoris tendon
injury fixed with 5 mm Fastin RC suture anchor
(Depuy)
5. Common peroneal nerve identified, isolated,
tagged and decompression done
- Right Leg
Intra OP Images
Common peroneal nerve
C Arm Images
Post OP X Ray

More Related Content

More from VijeshC6

739_Brachial_Plexus.pptx
739_Brachial_Plexus.pptx739_Brachial_Plexus.pptx
739_Brachial_Plexus.pptx
VijeshC6
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
VijeshC6
 
Electro-Physiological-Assessment-SD-Curve.pdf
Electro-Physiological-Assessment-SD-Curve.pdfElectro-Physiological-Assessment-SD-Curve.pdf
Electro-Physiological-Assessment-SD-Curve.pdf
VijeshC6
 
Presentation for Scheme_240115_161436.pdf
Presentation for Scheme_240115_161436.pdfPresentation for Scheme_240115_161436.pdf
Presentation for Scheme_240115_161436.pdf
VijeshC6
 
1-130722110627-phpapp01 (2).pdf
1-130722110627-phpapp01 (2).pdf1-130722110627-phpapp01 (2).pdf
1-130722110627-phpapp01 (2).pdf
VijeshC6
 
5_6239751156466188614.pptx
5_6239751156466188614.pptx5_6239751156466188614.pptx
5_6239751156466188614.pptx
VijeshC6
 

More from VijeshC6 (6)

739_Brachial_Plexus.pptx
739_Brachial_Plexus.pptx739_Brachial_Plexus.pptx
739_Brachial_Plexus.pptx
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
 
Electro-Physiological-Assessment-SD-Curve.pdf
Electro-Physiological-Assessment-SD-Curve.pdfElectro-Physiological-Assessment-SD-Curve.pdf
Electro-Physiological-Assessment-SD-Curve.pdf
 
Presentation for Scheme_240115_161436.pdf
Presentation for Scheme_240115_161436.pdfPresentation for Scheme_240115_161436.pdf
Presentation for Scheme_240115_161436.pdf
 
1-130722110627-phpapp01 (2).pdf
1-130722110627-phpapp01 (2).pdf1-130722110627-phpapp01 (2).pdf
1-130722110627-phpapp01 (2).pdf
 
5_6239751156466188614.pptx
5_6239751156466188614.pptx5_6239751156466188614.pptx
5_6239751156466188614.pptx
 

Recently uploaded

Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
Tamralipta Mahavidyalaya
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
PedroFerreira53928
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
Excellence Foundation for South Sudan
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
GeoBlogs
 
How to Break the cycle of negative Thoughts
How to Break the cycle of negative ThoughtsHow to Break the cycle of negative Thoughts
How to Break the cycle of negative Thoughts
Col Mukteshwar Prasad
 
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
Nguyen Thanh Tu Collection
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
Special education needs
 
The Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve ThomasonThe Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve Thomason
Steve Thomason
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
siemaillard
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Fish and Chips - have they had their chips
Fish and Chips - have they had their chipsFish and Chips - have they had their chips
Fish and Chips - have they had their chips
GeoBlogs
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Thiyagu K
 
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
AzmatAli747758
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 

Recently uploaded (20)

Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
 
How to Break the cycle of negative Thoughts
How to Break the cycle of negative ThoughtsHow to Break the cycle of negative Thoughts
How to Break the cycle of negative Thoughts
 
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
GIÁO ÁN DẠY THÊM (KẾ HOẠCH BÀI BUỔI 2) - TIẾNG ANH 8 GLOBAL SUCCESS (2 CỘT) N...
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
 
The Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve ThomasonThe Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve Thomason
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
 
Fish and Chips - have they had their chips
Fish and Chips - have they had their chipsFish and Chips - have they had their chips
Fish and Chips - have they had their chips
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
 
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 

Proximal tibia - fibula fracture.pdf

  • 1. Medial tibial condyle fracture + Tibial tuberosity avulsion + Segonds fracture + LCL complex injury + Biceps femoris tendon injury - Right Leg
  • 2. History • 20 years old, Female • Alleged h/o RTA • Skid and fall from 2 wheeler (Patient - rider) • C/o Pain and limitation of movement of Right knee • No h/o head injury • No h/o any known comorbidties • H/o drug allery to ACECLOFENAC
  • 3. On Examination *Abrasion - 5 x 3 cm (+) over distal aspects of right leg 2 x 1 cm present over infra patellar area left knee *Swelling (+) over lateral aspects of right leg proximally *Tenderness(+) lateral joint line supra patellar region of right knee *Tenderness (+) lateral aspects of right leg proximally *Varus stress test positive *SLR positive *ROM- right knee restricted due to pain *Distal pulse (+) *No neurological deficits.
  • 5. Pre OP X Ray
  • 6. MRI with CT Correlation Right Knee
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Diagnosis 1. Medial tibial condyle fracture (schatzker type 4) 2. Tibial tuberosity avulsion 3. Segonds fracture 4. LCL complex injury + Biceps femoris tendon injury - Right Leg
  • 13. Surgery 1. Reduction & fixation (MIPO) of Medial tibial condyle fracture with proximal tibial medial T- plate Right 3.5 mm 8 holed (Sigma titanium) 2. Tibial tuberosity avulsion fixed with 4 mm Cancellous screw (50 mm) with washer 3. Segonds fracture fixed with 4 mm Cancellous screw (30 mm) 4. LCL complex injury + Biceps femoris tendon injury fixed with 5 mm Fastin RC suture anchor (Depuy) 5. Common peroneal nerve identified, isolated, tagged and decompression done - Right Leg
  • 14. Intra OP Images Common peroneal nerve
  • 16.
  • 17.
  • 18. Post OP X Ray